| NPI | 1538463740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT CHRISTOFFERS Physical Therapist 802-999-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0003741) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |